Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,733.00 / $6,470.00 / $18,800.00	Facility		$1,733.00	$6,470.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.96 / $1,384.02 / $2,532.59	Professional		$808.96	$1,384.02	$2,532.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,992.51 / $16,547.20 / $31,745.76	Facility		$1,992.51	$16,547.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,371.91 / $2,463.85 / $8,701.95	Professional		$1,371.91	$2,463.85	$8,701.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $6,910.09	Facility		$644.92	$1,110.00	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,103.08 / $1,730.61 / $3,031.34	Professional		$1,103.08	$1,730.61	$3,031.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,219.50 / $2,030.96 / $6,320.69	Facility		$1,219.50	$2,030.96	$6,320.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,226.08 / $2,059.85 / $6,059.92	Professional		$1,226.08	$2,059.85	$6,059.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $1,042.34 / $2,259.04	Professional		$92.82	$1,042.34	$2,259.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,263.58 / $1,769.81 / $2,011.34	Facility		$1,263.58	$1,769.81	$2,011.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,337.71 / $1,371.91 / $2,952.04	Facility		$1,337.71	$1,371.91	$2,952.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,384.64 / $2,273.57 / $2,723.11	Professional		$1,384.64	$2,273.57	$2,723.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.34 / $1,934.43 / $2,585.44	Professional		$1,348.34	$1,934.43	$2,585.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $3,478.00 / $16,315.00	Facility		$1,615.00	$3,478.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,136.84 / $1,510.60 / $3,317.58	Professional		$1,136.84	$1,510.60	$3,317.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,083.71 / $1,083.71 / $1,083.71	Professional		$1,083.71	$1,083.71	$1,083.71